Warren, Amanda J

Warren, Amanda J is an individual health care provider with primary practice located at 700 N Lake Ave , Twin Lakes WI 53181-9436. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Warren, Amanda J can be contacted via phone (262) 877-2124.

Contact Information

Primary practice address
700 N Lake Ave Twin Lakes WI 53181-9436
Phone: (262) 877-2124
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9848-024 Wisconsin

Profile Details

NPI number 1295939270
LBN Legal business name Warren, Amanda J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Jan 24th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295939270 NPPES
Wisconsin MEDICAID 40371000

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